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Chunk #25 — Discussion

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Association Between Substance Use Disorder and Polygenic Liability to Schizophrenia.
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Although the pseudo R2 estimates are unusually large, it highlights the statistical power in this sample for traits related to substance use disorder. It is common in genetic studies to meta-(and mega)-analyze the largest possible sample, which may combine studies with many different ascertainment schemes. Our results show that this approach of combining many different datasets with varying ascertainment schema may temper associations. For example, Chen et al. (22) found a much weaker association of nicotine dependence and cigarettes per day with a similarly generated polygenic risk score for schizophrenia in a large meta-analysis of samples ascertained as population and disease-based cohorts (R2 ≤ 0.1%, N=13,326). Our data suggest that when testing the relationship between a substance-related phenotype and the polygenic risk score for schizophrenia, the diagnosis of any substance use disorder may be the most informative substance-related phenotype to use, especially with a heterogeneously ascertained series of samples. Despite this, we would expect that analyses with large enough sample sizes, as in the study reported by Chen et al. (22), will detect attenuated associations between the schizophrenia polygenic risk